,i #aaeth ,,congress #b;d ,session ,h4 ,r4 #fcaa ,,in ,,the ,,house ,,of ,,representatives ,july #f1 #bjah,mr4 ,roskam 7for himself and ,mr4 ,burgess7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,ways and ,means1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend the ,internal ,revenue ,code of #aihf and the ,patient ,protection and ,affordable ,care ,act to modify the definition of qualified health plan for purposes of the health insurance premium tax credit and to allow individuals purchasing health insurance in the individual market to purchase a lower premium copper plan4 #a4 ,modification of definition of qualified health plan 7a7 ,in general ,section #cf;,b7c77#c77;,a7 of the ,internal ,revenue ,code of #aihf is amended-- 7#a7 by inserting 7determined without regard to subparagraphs 7,a71 7,c77ii71 and 7,c77iv7 of paragraph 7#a7 thereof and without regard to whether the plan is offered on an ,exchange7 after #acja7;a7 of the ,patient ,protection and ,affordable ,care ,act1 and 7#b7 by striking shall not include and all that follows and inserting shall not include any health plan that-- 7i7 is a grandfathered health plan or a grandmothered health plan1 or 7ii7 includes coverage for abortions 7other than any abortion necessary to save the life of the mother or any abortion with respect to a pregnancy that is the result of an act of rape or incest74 4 7b7 ,definition of grandmothered health plan ,section #cf;,b7c77#c7 of such ,code is amended by adding at the end the following new subparagraph3 7,c7 ,grandmothered health plan 7i7 ,in general ,the term grandmothered health plan means health insurance coverage which is offered in the individual health insurance market as of ,october #a1 #bjac1 and is permitted to be offered in such market after ,january #a1 #bjad1 as a result of ,,cciio guidance4 7ii7 ,,cciio guidance defined ,the term ,,cciio guidance means the letter issued by the ,centers for ,medicare ,medicaid ,services on ,november #ad1 #bjac1 to the ,state ,insurance ,commissioners outlining a transitional policy for non-grandfathered coverage in the individual health insurance market1 as subsequently extended and modified 7including by a communication entitled ,insurance ,standards ,bulletin ,series--,,information--,extension of ,transitional ,policy through #bjai issued on ,april #i1 #bjah1 by the ,director of the ,center for ,consumer ,information and ,insurance ,oversight of such ,centers74 7iii7 ,individual health insurance market ,the term individual health insurance market means the market for health insurance coverage 7as defined in section #ihcb7;b77 offered to individuals other than in connection with a group health plan 7within the meaning of section #ejjj7;b77#a774 4 7c7 ,conforming amendment related to abortion coverage ,section #cf;,b7c77#c7 of such ,code1 as amended by paragraph 7#b71 is amended by adding at the end the following new subparagraph3 7,d7 ,certain rules related to abortion 7i7 ,option to purchase separate coverage or plan ,nothing in subparagraph 7,a7 shall be construed as prohibiting any individual from purchasing separate coverage for abortions described in such subparagraph1 or a health plan that includes such abortions1 so long as no credit is allowed under this section with respect to the premiums for such coverage or plan4 7ii7 ,option to offer coverage or plan ,nothing in subparagraph 7,a7 shall restrict any health insurance issuer offering a health plan from offering separate coverage for abortions described in such subparagraph1 or a plan that includes such abortions1 so long as premiums for such separate coverage or plan are not paid for with any amount attributable to the credit allowed under this section 7or the amount of any advance payment of the credit under section #adab of the ,patient ,protection and ,affordable ,care ,act74 7iii7 ,other treatments ,the treatment of any infection1 injury1 disease1 or disorder that has been caused by or exacerbated by the performance of an abortion shall not be treated as an abortion for purposes of subparagraph 7,a74 4 7d7 ,conforming amendments related to off-,exchange coverage 7#a7 ,advance payment not applicable ,section #adab of the ,patient ,protection and ,affordable ,care ,act is amended by adding at the end the following new subsection3 7f7 ,exclusion of off-,exchange coverage ,advance payments under this section1 and advance determinations under section #adaa1 with respect to any credit allowed under section #cf;,b shall not be made with respect to any health plan which is not enrolled in through an ,exchange4 4 7#b7 ,reporting ,section #fjee7;b7 of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new paragraph3 7#c7 ,information relating to off-,exchange premium credit eligible coverage ,if minimum essential coverage provided to an individual under subsection 7a7 consists of a qualified health plan 7as defined in section #cf;,b7c77#c77 which is not enrolled in through an ,exchange established under title ,i of the ,patient ,protection and ,affordable ,care ,act1 a return described in this subsection shall include-- 7,a7 a statement that such plan is a qualified health plan 7as defined in section #cf;,b7c77#c771 7,b7 the premiums paid with respect to such coverage1 7,c7 the months during which such coverage is provided to the individual1 7,d7 the adjusted monthly premium for the applicable second lowest cost silver plan 7as defined in section #cf;,b7b77#c77 for each such month with respect to such individual1 and 7,e7 such other information as the ,secretary may prescribe4 4 7#c7 ,other conforming amendments 7,a7 ,section #cf;,b7b77#b77;,a7 of such ,code is amended by striking and which were enrolled and all that follows and inserting 1 or4 7,b7 ,section #cf;,b7b77#c77;,b77i7 of such ,code is amended by striking the same ,exchange and all that follows and inserting the ,exchange through which such taxpayer is permitted to obtain coverage1 and4 7,c7 ,section #cf;,b7c77#b77;,a77i7 of such ,code is amended by striking that was enrolled in through an ,exchange established by the ,state under section #acaa of the ,patient ,protection and ,affordable ,care ,act4 7e7 ,effective date 7#a7 ,in general ,except as otherwise provided in this subsection1 the amendments made by this subsection shall apply to taxable years beginning after ,december #ca1 #bjah4 7#b7 ,advance payment not applicable to off-,exchange coverage ,the amendment made by subsection 7d77#a7 shall take effect on ,january #a1 #bjai4 7#c7 ,reporting ,the amendment made by subsection 7d77#b7 shall apply to coverage provided for months beginning after ,december #ca1 #bjah4 #b4 ,allowing all individuals purchasing health insurance in the individual market the option to purchase a lower premium copper plan 7a7 ,in general ,section #acjb7;e7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjbb7;e77 is amended-- 7#a7 in paragraph 7#a7-- 7,a7 by redesignating clauses 7i7 and 7ii7 of subparagraph 7,b7 as subparagraphs 7,a7 and 7,b71 respectively1 and adjusting the margins accordingly2 7,b7 by striking plan year if-- and all that follows through the plan provides-- and inserting plan year if the plan provides--2 and 7,c7 in subparagraph 7,a71 as redesignated by paragraph 7#a71 by striking clause 7ii7 and inserting subparagraph 7,b72 7#b7 by striking paragraph 7#b72 and 7#c7 by redesignating paragraph 7#c7 as paragraph 7#b74 7b7 ,risk pools ,section #acab7;c77#a7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjcb7;c77#a77 is amended by inserting and enrollees in catastrophic plans described in section #acjb7;e7 after ,exchange4 7c7 ,conforming amendment ,section #acab7;d77#c77;,c7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjcb7;d77#c77;,c77 is amended by striking 1 except that in the case of a catastrophic plan described in section #acjb7;e71 a qualified individual may enroll in the plan only if the individual is eligible to enroll in the plan under section #acjb7;e77#b74 7d7 ,effective date ,the amendments made by this section shall apply to plan years beginning after ,december #ca1 #bjah4